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1952805475
SAMUEL FOSTER ROSS
SOUTHLAKE, TX
NPI
1952805475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-17-32332)
Enumeration Date
2018-03-20
Last Update Date
2018-03-20
Business Address
SAMUEL FOSTER ROSS SLPA, RBT
2104 GREENBRIAR DR
SOUTHLAKE, TX 76092-8355
Phone number: 817-442-9022
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Mailing Address
SAMUEL FOSTER ROSS SLPA, RBT
2104 GREENBRIAR DR
SOUTHLAKE, TX 76092-8355
Phone number:
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